Provider Demographics
NPI:1194865832
Name:DISABILITY SUPPORTS OF THE GREAT PLAINS, INC.
Entity Type:Organization
Organization Name:DISABILITY SUPPORTS OF THE GREAT PLAINS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:STAAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-241-8411
Mailing Address - Street 1:PO BOX 843
Mailing Address - Street 2:501 E. NORTHVIEW
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-0843
Mailing Address - Country:US
Mailing Address - Phone:620-241-8411
Mailing Address - Fax:620-241-2136
Practice Address - Street 1:501 E NORTHVIEW AVE
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-1941
Practice Address - Country:US
Practice Address - Phone:620-241-8411
Practice Address - Fax:620-241-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251E00000XAgenciesHome Health